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North Carolina rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.06 / $43.06 / $74.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $43.06 / $43.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $47.34 / $89.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $36.88 / $36.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $30.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $29.64 / $66.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $43.06 / $55.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $33.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.50 / $53.50 / $82.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.47 / $24.32 / $35.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.84 / $283.39 / $283.39
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.50 / $472.50 / $472.50